Modified Pedicled Internal Mammary Osteomyocutaneous Chimeric Flap for Salvage of Mandibular Reconstruction.

ABSTRACT: The modified pedicled internal mammary osteomyocutaneous chimeric flap is a powerful option for head and neck reconstruction in patients not suitable for free tissue transfer. In this article, the senior author's (K.C.) technique for flap elevation is described in the context of a patient with mandibular osteoradionecrosis resulting in severe crossbite and trismus after multiple failed attempts at reconstruction with free tissue transfer. The modified pedicled internal mammary osteomyocutaneous chimeric flap was chosen as it offered intraoral lining, extraoral soft tissue, and vascularized bone for mandibular reconstruction without requiring free tissue transfer. The flap dissection as well as the risks, benefits, and indications for this flap are described herein. The modified pedicled in

SUBMITTER: Morin SD 

PROVIDER: S-EPMC10718360 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature